Topics:
Radiation Oncology • Palliation
Would you consider post-operative SBRT following long bone stabilization (i.e. femoral intramedullary nail) for radioresistant tumors?
If not constrained by field size, would you treat the entire hardware length?
Answer from: Radiation Oncologist at Academic Institution
It depends on the type of surgery done. Using proximal femur as an example, if an IM or interlocking nail is done, the nail passes straight through the tumor and contaminates the whole medullary cavity. The CTV will need to include the tumor plus the femur down to the femoral condyles. SBRT won&rsqu...
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